Topical Therapy A wide variety of topical medications are available for treating cutaneous disease (see Formulary). Specific medications are covered in detail in the appropriate chapters, and the basic principles of topical treatment are discussed here. The skin is an…
Skin Anatomy The skin is divided into three layers: the epidermis, the dermis, and the subcutaneous tissue. The skin is thicker on the dorsal and extensor surfaces than on the ventral and flexor surfaces. Epidermis The epidermis is the outermost…
Having a thorough knowledge of common dermatologic surgery complications is essential for physicians to develop a safe surgical practice. Overall, the incidence of complications in dermatologic surgery is very low. However, complications are to be expected, particularly in practices with…
Introduction and Perioperative Consideration The neck is the portion of the body that links the trunk to the head. As the neck is prone to sun exposure, it is a common location for dermatologic surgeons to remove skin cancers. The…
Introduction Skin cancer frequently occurs on and around the lips, and repairs of perioral surgical defects present numerous unique reconstructive challenges. Asymmetries and visible scars in the centrofacial region are distracting to onlookers, reduce levels of perceived attractiveness, and can…
Skin cancer wounds commonly occur on the nose, and the nose's unique aesthetic prominence presents particular reconstructive challenges. Although early nasal reconstructive procedures sought simply to cover the exposed wound, modern nasal reconstruction strives to restore a nearly perfect appearance…
Introduction Repair of the auricle can be traced back to India (600 bce ), with subsequent contributions by the Egyptians, Renaissance Italians, 19th-century surgeons, and finally German surgeons such as Diffenbach, who played a major role in refining auricle reconstruction.…
As with other facial areas, the goal of cheek reconstruction is to create the “illusion of normality and the perception that all is as it was.” Normality on the cheeks is defined as symmetrical contour, color, and texture. The face…
Introduction Mastering the fundamental techniques of periocular surgery is essential for the Mohs and reconstructive surgeon. The eye holds immeasurable value, visual and aesthetic, that demand understanding and expertise to ensure successful surgical outcomes. The mobile nature of the eyelids…
Successful treatment of the skin cancer patient revolves around three goals: (1) tumor-free surgical margins; (2) preservation of function; and (3) restoration and optimization of cosmesis. Before conceptualizing any repair, the surgeon must keep in mind that the primary goal…